Jenaya Marie Calderilla, D.O.
Individual provider Active NPI Family Medicine Physician · Alpine, CA
NPI 1407200306 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1407200306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A17367 (CA)
- Practice address
- 4058 Willows Rd
Alpine, CA 91901-1668 - Phone
- (619) 445-1188
- NPI assigned
- Apr 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.17 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190828002837 | CA | Practitioner - Family Practice | 0042548075 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17367 | CA | MD | Family Medicine Physician |
| 17367 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of California, a Medical Corporation | Current |
Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current |
Accepting new patients | |
| Monica Perlman MD Inc. | Family Medicine | Current |
Accepting new patients |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients |
Locations
1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617
2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400
9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800
1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711
25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070
1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799
1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234
640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772
12843 El Camino Real
Ste 203
San Diego, CA 92130
Phone (858) 558-0399
3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553
740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000
988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868
1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A17367 | CA | Yes |
Addresses
Primary practice location
4058 Willows Rd
Alpine, CA 91901-1668
Mailing address
4058 Willows Rd
Alpine, CA 91901-1668
Phone (619) 445-1188
Other providers in Alpine, CA
- Paul Brown
- Atley Buechler
- Jesse Bullock
- Edwin Humberto Cabrera
- Amber Cabrero
- Bradley Daniel Caldwell
- Robert T. Calvert
- Nicole Michele Campos
- Lauren Cardoso
- Kathryn Carero
All providers in Alpine, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.